Audra Roosen, NP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0993470 Issued in CO

Practice address

1221 Timbervale TRL
Highlands Ranch, CO 80129-6946

Phone

(303) 489-4107

NPI assigned

Dec 11, 2017

Last updated

Dec 11, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1295240380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 TIMBERVALE TRL",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296946",
            "telephone_number": "303-489-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 TIMBERVALE TRL",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296946",
            "telephone_number": "303-489-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOSEN",
        "first_name": "AUDRA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "0993470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fermin Joshua Soriano Rodriguez III
• Heather Roesly, MD
• Katya Rolfson
• Deborah Lynn Roll, MA, CCC-SLP
• Allison Rolsten, LCSW
• Rose Pediatrics
• Richard J Rosenbaum, MD
• Jenna Taryn Rosenfeld, LCSW
• William Michael Rosenfelder, RPH
• Angela Maria Rosetti, MD

• Gerontology Nurse Practitioner in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Gerontology Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.